Organization
QUAD CITY AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GERDES MD (OFFICER PART OWNER)
(309) 762-1952
Entity
Organization
Contact information
Practice address
520 VALLEY VIEW DRIVE, STE #300, MOLINE, IL 61265
(309) 762-1952
(309) 762-6075
Mailing address
520 VALLEY VIEW DRIVE, STE #300, MOLINE, IL 61265
(309) 762-1952
(309) 762-6075
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50034
BCIL
—
01
—
92304
BCIA
—
Enumeration date
05/03/2006
Last updated
08/22/2020
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